Clinical presentation of an adolescent female synchronized swimmer with a simple bone cyst in the proximal humerus: a case report.
Bibliographic record
Abstract
OBJECTIVE: This case raises awareness for healthcare practitioners who may not suspect a simple bone cyst (SBC) in a pediatric athlete with a high risk of pathological fracture. CASE SUMMARY: SBC's are often considered as asymptomatic lesions which are commonly found incidentally on plain film radiographs. Presented here is a case of a 14-year-old competitive synchronized swimmer with a SBC in the proximal humerus with no MRI evidence of soft tissue pathology or pathological fracture, presenting clinically with refractory posterior shoulder pain. SUMMARY: Early detection of a SBC in a pediatric athlete is essential so an interdisciplinary care approach can be employed to ensure the appropriate management in those where there is high risk of pathological fracture. Clinicians should be aware of the risk factors for the development of a pathological fracture, and for other potential complications that may arise thereafter in those with a SBC.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.003 |
| Meta-epidemiology (narrow) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.003 | 0.002 |
| Science and technology studies | 0.002 | 0.002 |
| Scholarly communication | 0.002 | 0.002 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.005 | 0.003 |
| Insufficient payload (model declined to judge) | 0.003 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".